神经内镜手术治疗高血压脑出血的临床应用研究

目的 探讨神经内镜手术治疗高血压脑出血的临床疗效。方法 回顾性分析我科2013-06～2015-09期间经神经内镜手术治疗的48例高血压脑出血患者的疗效。结果 根据术后6 h内复查头颅CT显示血肿清除情况:完全清除27例，次全清除18例，部分清除3例。术后主要并发症:肺部感染、颅内积气、消化道出血，无内镜手术直接相关并发症发生。术后6月随访，按患者的日常生活能力(ADL)分级评价患者预后，Ⅰ级21例，Ⅱ级16例，Ⅲ级9例，Ⅳ级2例。结论 神经内镜手术对治疗高血压脑出血有较高的临床应用价值，具有微创性、并发症少、疗效好等优点。

Clinical research of nerve endoscopic surgery for hypertensiveintracerebral hemorrhage

Objective To investigate the neural endoscopic surgery effect for the treatment of hypertensive cerebral hemorrhage.Methods A retrospective analysis of 48 cases of hypertension cerebral hemorrhage patients underwent endoscopic management,the therapeutic effect of the management was analyzed retrospectively from June 2013 to September 2015.Results Head CT showed hematoma situation after 6 hours nearly completely removed 27 cases,the most clear 18 cases,and part to remove 3 cases.Postoperative complicationspulmonary infection in 1 case,9 cases of intracranial small amounts of pneumatosis,gastrointestinal bleeding in 3 cases,no secondary bleeding and intracranial infection occurred.Postoperative follow-up of 6 months,according to the ability of daily life (ADL) in patients with grade,Ⅰ level 21 cases,Ⅱ level 16 cases,Ⅲ level 9 cases,Ⅳ level 2 cases.Conclusion Nerve endoscopic surgery with minimally invasive brain hematoma cleared,time saving,and euthyphoria in treatment of hypertensive intracerebral hemorrhage cases are safe and effective minimally invasive treatment method.